Organization Active NPI

Vision Mart Eye Center, Inc.

  • Optician
  • Terre Haute, IN
National Provider Identifier
1689210296
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VISION MART EYE CENTER, INC.
Practice address
4684 S US Hwy 41
Terre Haute, IN 47802-5404
Phone
(812) 232-4925
Fax
(812) 232-6486
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Rotheker
Title
President
Phone
(812) 232-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

4684 S US Hwy 41
Terre Haute, IN 47802-5404

Mailing address

4684 S US Hwy 41
Terre Haute, IN 47802-5404
Phone (812) 232-4925

Other identifiers 1

IdentifierTypeStateIssuer
100252630AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Vision Mart Eye Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1689210296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4684 S US HWY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025404",
            "telephone_number": "812-232-4925",
            "fax_number": "812-232-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4684 S US HWY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025404",
            "telephone_number": "812-232-4925",
            "fax_number": "812-232-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION MART EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "ROTHEKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-232-4925"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.